OrganizationActive
Madison Dental Group, PLLC
NPI 1760106199 · Dental Clinic/Center · Madison, MS
Madison Dental Group, PLLC is a Dental Clinic/Center organization in Madison, MS (NPI 1760106199).
Provider details
- NPI number
- 1760106199
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Fortenberry, Owner(601) 853-3565
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7731 Old Canton Rd Ste a
Madison, MS 39110-6115
Phone: (601) 853-3565
Fax: (601) 853-3598
Street-level locationGet directions
Mailing address
Po Box 1547
Madison, MS 39130-1547
Other names (DBA / former)
- Doing business as
- Madison Dental Group
- Other name
- Madison Dental Group
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Madison Dental Group, PLLC's NPI number?
- Madison Dental Group, PLLC's National Provider Identifier (NPI) is 1760106199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madison Dental Group, PLLC?
- Madison Dental Group, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Madison Dental Group, PLLC located?
- Madison Dental Group, PLLC's practice location on file with NPPES is 7731 Old Canton Rd Ste a, Madison, MS 39110-6115.
- What is Madison Dental Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Madison Dental Group, PLLC is (601) 853-3565.
- Who is the authorized official for Madison Dental Group, PLLC?
- The authorized official listed on Madison Dental Group, PLLC's NPPES record is William Fortenberry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madison Dental Group, PLLC's NPI active?
- Yes — Madison Dental Group, PLLC's NPI (1760106199) is active in the NPPES registry as of the last update on 2022-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.